go back

Montana rates for HCPCS J1071

Inj Testosterone Cypionate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.52 / $122.52 / $122.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $2.00 / $15.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $0.04 / $0.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.04
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $0.04 / $0.08
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.03